Dave Quirk

🚑🚨#RapidRecap, this time exploring Chronic Kidney Disease - a quick review of key points. Is it AKI? What's the difference? And what interventions should we be cautious of? See #JRCALC & #ParaPass for more... #studentparamedic #nurse #studentnurse #ambulance #FOAMed #paramedic

🚨🚑December's #RapidRecap looks at Psychogenic Non-Epileptic Seizures #PNES, helping us move past the historical pejorative term "pseudo-seizures". Distinguishing between epileptic seizures and PNES is often challenging and with caution - see #JRCALC for further guidance. 🚑🚨

🚑 The prehospital assessment of abdo pain can be challenging, with multiple pt streaming options available. How can we enhance our assessment? 1. Comprehensive and structured hx-taking. 2. Thorough physical exam. 3. An underpinning knowledge of potential causes. Links below 👌

🚨🚑 In keeping with the pregnancy-related complications theme of our last #RapidRecap, this month, we explore bleeding🩸. Scan the QR for the RR library and QR for bleeding CPD🚑🚨 #paramedic #JRCALC #studentparamedic #ambulance @SusanRhind1

🚑🚨🩸#RapidRecap: Sickle Cell Disease. It's most common in people of African or Caribbean origin; take two minutes to refresh underpinning knowledge and recap the red flags 🩸🚨🚑 #paramedic #studentparamedic #nurse #studentnurse #ambulance #FOAMed

☀️🥵#RapidRecap -Heat illness 🥵☀️. Heat stress > heat exhaustion > heat stroke > mortality. Early consideration, recognition, and intervention are essential to improving patient outcomes. Hot weather and older adults are not the only ones at risk of heat stroke; think raves too.

MSc ✅️....Tough, often overwhelming, yet achievable. A process made easier by having the right people around; a great cohort and top-tier study team.

See #JRCALC and #parapass for more info/guidance. And, have a listen to the brilliant @TheResusRoom podcast about heat illness theresusroom.libsyn.com/heat-illness-r…

If you're a newly qualified or early career professional who has recently completed or are working towards your professional registration @NWAmbulance, you may be eligible to apply for @NIHRresearch INSIGHT health and social care Research Masters studentship 👇

@Will_Bellamy I've not been, but heard positive things. You hosting? 😂

@2Quirk Fancy a visit to the IOM?

For me, the outdoors calms the brain at times of pressure, an often-needed reset to baseline. And so, it was perfect timing for our annual hiking trip, this time to Keswick (not quite as tough as the national 3 peaks from last year 😂), and finished with Ladore Falls Spa 🧘‍♂️🧘‍♂️🧘‍♂️

Thousands of motorbikes, a brilliant atmosphere, and all for a good cause. It was unbelievable to see the number of people lining bridges to welcome and support the bikers! #davesday #daveday

@loddyy24 Hi Olli. NWAS begin a road show-type event soon whereby the event vehicle, FTSU guardian, and leaders will attend each ED to talk with NWAS staff about sexual safety, improving culture, and promote speaking up. There's a lot of planning going on 👌

🚑🚨#RapidRecap STEMI. Early diagnosis and prompt transfer to PPCI are crucial. Minimising our on-scene time can positively influence patient outcomes, especially those with cardiogenic shock. Women may experience 10% longer at scene; consider STEMI early. &...prepare for VF.🚑🚨

@ParaAndy90 @h3l3na97 @RossM_2003 The most crucial factor is ensuring correct pad placement, that lateral pad especially⚡️

@2Quirk @h3l3na97 @RossM_2003 I apply pads to stemi patients, for if they arrest they can get a quick shock. We start with a high energy shock and stay there, we don't escalate up

@h3l3na97 @RossM_2003 Defibrillators often increase joules for the first 3 shocks, 200, 300, 360... And the likelihood of reverting VF is highest at the point of arrest, then decreasing over time. Without stacked shocks, a 4-minute wait exists before 360j and there is also consequential chest trauma.

@2Quirk @RossM_2003 Curious student here 😇 To my knowledge I don’t think the trust I do my placement with do stacked shocks. What is the purpose/benefit of doing the stacked shocks? 🤔☺️

@RossM_2003 Definitely - it significantly improves defibrillation time and these patients are high risk of VF. From a human factors perspective, it keeps the clinician calm with good operating bandwidth as all they have to do is press shock 👌

@2Quirk Thank you! I was aware of the RCUK guidelines however seen the ‘follow local policy’ caveat on JRCALC in relation to stacked shocks. Pads on for STEMI’s is definitely something I’ll consider as I transition into being an NQP